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Supporting Carers in General Practice & the new NHS

Dr Sachin Gupta GP, Welwyn Garden City RCGP GP Champion for Carers, East of England Macmillan GP, Mount Vernon Cancer Network.

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Supporting Carers in General Practice & the new NHS

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  1. Dr Sachin Gupta GP, Welwyn Garden City RCGP GP Champion for Carers, East of England Macmillan GP, Mount Vernon Cancer Network Supporting Carers in General Practice& the new NHS

  2. Primary Care and Community LinksSupporting Carers in General Practice Aim of the Programme Background to the partnership What we’ve done so far What we plan to do next The Basket of Resources Questions and answers

  3. The Royal College of General Practitioners (RCGP) "The contribution of carers is vital, both in the delivery of health and social care and to the wider economy, so it is unfortunate that many neglect their own health in order to fulfill this role. GPs can play a crucial role in identifying carers, ensuring they are supported through general practice and referred to the appropriate services.” Clare Gerada – Chair, RCGP.

  4. Workshops Supporting Carers Action Guide e-learning through e-LfH InnovAiT special Caring for Carers Award Working to support carers since 2007

  5. Recent developments 8 workshops Review of the GP Curriculum Stakeholder conference held in May 2012 Commissioning Guidance In-house training DVD Special Interest Forum for GPs Examples of best practice 9 GP Champions for Carers

  6. Supporting Carers Carers Leads Primary Care Trusts GP Liaison Staff Patient related groups Practice Teams GPs Voluntary Sector organisations Primary Healthcare community Local Councils Clinical commissioning groups GP Champions Carer Ambassadors Expert Practitioners

  7. Some facts about carers • 10-12 % people (our patients) are carers • 6 million carers in the country • 4.3 million of working age • 1.25 million carers provide care for more then 50 hours/week. • Value of carers contribution £118 billion • 700,000 young carers • 138,000 carers in Herts, 5000 identified on GPs carer register, 3000 had flu vaccination

  8. Effect of caring on carers and care workers • 40% carers have significant stress and/or depression • High incidence of self harm in young carers • Providing higher level of care is associated with 23% higher risk of stroke • Other problems- back pain/ musculoskeletal problems, sleep disturbance, migraine, irritable bowel syndrome, hernia etc

  9. Social & economic affects of caring • 20% carers give up work to care • On average carers retire 8 years early • 87% households with working age carers looking after their partners , on one in the household is in the paid employment • Other effects- poverty, debt, poor diet, missing health care appointments • List is endless!

  10. What can GP’s do • Develop practice action plan to support carers • RCGP & PRTC action guide for GP’s and their practice staff • Identify, support & signpost carers • Examples of best practice Carer health checks Prescription breaks for carers – success in Cambridge & other regions

  11. Five key ways for GPs to support carers • Just listen! • Think of depression and other problems • Ask about finances • Signpost to services • Plan for emergencies

  12. Health and Social Bill Aims- • Give patients more choice • Give clinicians more control • Give organizations greater freedom from central control and political interference • Promote competition to improve patient care • Scrutiny by local authority through ‘Health and Well Being Board’

  13. The new NHS • White Paper 2010 - Puts patient and public first - Improve patient care - Allow GP’s to commission care - Involves local authority - Improves patient choice - Integrate health and social care

  14. Clinical Commissioning Groups CCGs • Composition – GPs, Hospital consultant, other health and social care professionals • First & second wave of authorisation • PCTs will be abolished • CCGs begin work on 1st April 2013

  15. What will changes mean for the NHS • Giving responsibility for commissioning healthcare to GPs and their team • Creation of independent NHS Commissioning Board to allocate resources and oversee CCGs • Abolition of PCTs • Transfer of public health responsibilities to local authorities • Greater freedom for providers of healthcare • Promote competition and patient choice • Makes NHS more accountable to patient & public

  16. Input • Public Health England • 4 regional “hubs” (in line with CB regions), and local units to fit with NHSCB local area DH Jeremy Hunt, Secretary of State Input National Health Watch NHS Commissioning BoardChief Exec, Sir David Nicholson 50 PCT clusters (2012): becoming 27 NHS CB local area teams 4 SHA clusters (2012):becoming 4 NHS CB regions Monitoring Clinical Senates (Herts in EoE senate) Hertfordshire County CouncilResponsible for Public Health LocalHealth Watchto evolve from LINk • Clinical Commissioning Groups (CCGs) Commissioning services from and contracts with… E&N Herts CCG Herts Valleys CCG Health and Wellbeing Board Commissioning services from… • Hertfordshire Integrated • Commissioning Support • Providing services for HVCCG • and ENHCCG NHS Trusts All to be FTs Specialised services GPs, Dentists, Optoms, Pharmacists Monitor Independentsector CQC Regulation Produced by The Communications Team, NHS Hertfordshire

  17. Questions & Answers

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